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7 Cards in this Set
- Front
- Back
Intro to Drug Therapy |
Nursing Process:
Assessment, nursing problem, planning, implementation, evaluation |
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Assessment |
Data from various sources( patient, family, caregiver, medical record) collected thru interview direct and indirect questioning, observation, head to toe assessment, medical record review. Subjective and objective data6 elements to include |
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6 elements to include when getting a medication order:
•Pt name •Date the order was written •Name of drug •Drug dose amount and frequency •route of administration •prescribers signature |
Nursing dx is formed using NANDA |
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6 rights to be checked 3 times before giving meds: |
•right drug- check against label for appropriateness •right dose- watch decimal points and zeros •right time- 30 minutes before or after actual time, except STAT •right route- never assume •right pt- 2 identifiers. Name and birthday...allergies •right documentation- crucial to pt safety |
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Med errors |
A major problem in healthcare |
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Charting Don'ts |
Don't record staffing problems Don't use negative language Don't use abbreviations Don't chart anything but facts Don't mention incident report in charting Don't use casual conversations |
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High alert meds |
Heparin, insulin, chemo meds |